NPI 1639188972 · live from the CMS NPI Registry
Lawrence Douglas Carlson, M.D.
Internal Medicine, Cardiovascular Disease in Klamath Falls, OR. National Provider Identifier 1639188972, active.
NPI record
| NPI | 1639188972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3001 Daggett Ave Ste 101, Klamath Falls, OR 97601 |
| Practice phone | 541-884-6233 |
| Mailing address | Po Box 2120, Portland, OR 97208 |
| Enumerated | August 5, 2006 |
| Last updated | November 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | G62984 (CA) |
| Internal Medicine, Interventional Cardiology | 207RI0011X | G62984 (CA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD209372 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.